Organization Active NPI

Dbenzmdpllc

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1386925592
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00016331 Issued in WA
Legal business name
DBENZMDPLLC
Practice address
19110 NE 21St St
Vancouver, WA 98684-0907
Phone
(360) 256-1190
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald J Benz, MD
Title
Member
Phone
(360) 256-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00016331 WA Primary

Addresses

Primary practice location

19110 NE 21St St
Vancouver, WA 98684-0907

Mailing address

19110 NE 21St St
Vancouver, WA 98684-0907
Phone (360) 256-1190

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1386925592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 NE 21ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840907",
            "telephone_number": "360-256-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 NE 21ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840907",
            "telephone_number": "360-256-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBENZMDPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-256-1190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00016331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.